MEDICARE: DR. PEGGY G KUEHL PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	2006033360	MO
2	1835P1200X	Pharmacotherapy Pharmacist	114143	KS

General Provider Information

NPI Number	:	1689734170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEGGY G KUEHL PHARM.D.

Provider Business Mailing Address
First Line	:	9048 HASKINS ST
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66215-3423
Country	:	US
Telephone Number	:	913-522-9664
Fax Number	:

Provider Business Practice Location Address
First Line	:	M3-C19 MEDICAL SCHOOL BUILDING
Second Line	:	2411 HOLMES ST
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2792
Country	:	US
Telephone Number	:	816-235-2433
Fax Number	:	816-235-1776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. PEGGY G KUEHL PHARM.D.” Practice Location

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